Individual provider Active NPI

Janet Ruth Tull, M.D.

  • Family Medicine Physician
  • Charles City, IA
National Provider Identifier
1144280355
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35605 Issued in IA
Practice address
1501 S Main St, Suite 6
Charles City, IA 50616-3444
Phone
(641) 257-1184
Fax
(641) 257-0688
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35605 IA Primary

Addresses

Primary practice location

1501 S Main St, Suite 6
Charles City, IA 50616-3444

Mailing address

Floyd County Hosp Dba Floyd County Area Family Pract
800 11TH St
Charles City, IA 50616
Phone (641) 228-6830

Other identifiers 5

IdentifierTypeStateIssuer
I16518OtherIAMCR B PROVIDER #
0635045MedicaidIA
0479188MedicaidIA
05299OtherIAWELLMARK BLUE CROSS BLUE
P00263865 GRP DC4130OtherIARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Janet.Tull@cynchealthdsm.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051122000695 IA Practitioner - Family Practice 9133198369 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35605IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd County Memorial Hospital Commission Family Medicine CurrentSince Sep 6, 2005 Accepting new patients
Floyd County Memorial Hospital Commission Current Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients

Locations

800 11th St
Charles City, IA 50616
Phone (641) 228-6830

1501 S Main St
Ste 6
Charles City, IA 50616
Phone (641) 228-5151

Interoperability endpoints

  • Direct secure messaging: janet.tull@cynchealthdsm.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1144280355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FLOYD COUNTY HOSP DBA FLOYD COUNTY AREA FAMILY PRACT",
            "address_2": "800 11TH ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "50616",
            "telephone_number": "641-228-6830",
            "fax_number": "641-257-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S MAIN ST, SUITE 6",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506163444",
            "telephone_number": "641-257-1184",
            "fax_number": "641-257-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULL",
        "first_name": "JANET",
        "middle_name": "RUTH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "35605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR B PROVIDER #",
            "identifier": "I16518",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0635045",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0479188",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS BLUE",
            "identifier": "05299",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00263865 GRP DC4130",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Janet.Tull@cynchealthdsm.org",
            "affiliation": "N",
            "address_1": "1501 S Main St, SUITE 6",
            "city": "Charles City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506163444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charles City, IA

Sources for this page

Verify at the official NPI Registry.